Epidural Blood Patch For Postdural Puncture Headache - A Prospective Study of 60 Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Spinal anaesthesia is used widely now a days. This dural puncture is associated with CSF leak which decreases the intracranial pressure and causes headache. The incidence of postdural puncture headache was around 66% in 1898. With the advent of 22G to 29G spinal needles, the incidence decreased to 11%. The aim of present study was to assess the effectiveness of epidural blood patch in treating postdural puncture headache. Material and methods: A total of 60 patients were involved in this prospective study. All the patients received epidural blood patch for postdural puncture headache. Lumbar epidural puncture was performed at the site of previous puncture or as chosen by the operator. 22 ± 5 ml of blood from anticubital vein was injected in the absence of any pain. Age, height and gender of the patients were noted. The size of the needle used, difficulties encountered during puncture were also noted. Presence of clinical symptoms, delay between dural puncture and EBP and level of EBP were also noted. NCSS software was used for analysis. Fisher test or unpaired t test was used for analysis. Result: Majority of the patients presented with neck pain (87.5%) and heachache (96%). Vestibular signs like nausea and vomiting were present in 69.6% of patients. Cochlear signs were present in 35.7% cases and ocular signs were present in 35.7% cases. The volume of injected blood was 22 +/- 5 ml. Complete relief of symptoms occurred in 75% cases and 25% patients had incomplete relief. The failure rate was only 6%. Conclusion: Espidural blood patch is an effective treatment option for postdural puncture headache. According to our study it offered a success rate of 93.3%.
Authors and Affiliations
Arun Deka
Keywords
Related Articles
- EP ID EP425325
- DOI -
- Views 119
- Downloads 0
Comparison of Sputum Culture and Protected Brush Biopsy Specimen Culture through Fibreoptic Bronchoscope in Lower Respiratory Tract Infections - A Hospital based Study
Introduction: The sputum remains the most common diagnostic specimen for isolating the causative microbes from the infected lung in spite of its proved poor yield of the true pathogens and too often findings of false pat...
Molecular Characterization and Serological Analysis of Dengue Viruses in Amritsar District
Introduction: Dengue is a common mosquito-borne viral disease of humans that in recent years has become a major international public health concern. There are four serotypes of the dengue virus i.e DENV-1, DENV-2, DENV-3...
A Study of Blood Pressure and Electrocardiography Changes among Smokers and Non Smokers
Introduction: Tobacco smoking is one of the common cause of the preventable deaths globally. It contains nicotine which causes physical and psychological dependencies increases the blood coagulability and causes conducti...
Comparison of Intramuscular and Submucosal Dexamethasone on Postoperative Sequale Following Third Molar Surgery
Introduction: Transalveolar extraction of mandibular third molar is a cumbersome and dreaded procedure. Most of the patients are in awe for surgical extraction. It brings great discomfort to the patients and interferes w...
A Comparative, Cross Sectional, Observational Study to Assess the Post Operative Analgesic Efficacy of Bupivacaine VS Levobupivacaine in Illioinguinal / Illiohypogastric Nerve Block for Paediatric Patients Undergoing Inguinal Surgeries
Introduction: Bupivacaine is the most commonly used local anaesthetic pediatric regional blocks. Levobupivacaine, a pure S- enantiomer of bupivacaine, is a long acting local anaesthetic that has a safer pharmacological p...